Inspection Reports for
Alta Mesa Health and Rehabilitation

Multiple residents and a resident's spouse complained about short staffing, long wait times for care, slow response to call bells, and inadequate assistance. The facility received complaints about staffing and call light wait times, which were investigated by the administrator and staffing coordinator.

The facility failed to ensure accurate and complete Daily Staff Postings for nursing staff hours scheduled and worked, resulting in discrepancies that could affect staffing metrics. Multiple residents and family members reported concerns about short staffing and long wait times for care, particularly on weekends.

The complaint investigation revealed that resident #510 had not been administered oxygen since admission despite physician orders. Interviews with staff confirmed the resident was not receiving oxygen. The facility also had issues with inaccurate nurse staffing postings, with discrepancies between posted and actual hours worked, and resident complaints about short staffing and long call light wait times.

The facility failed to ensure that oxygen was administered as ordered to one sampled resident, which could result in low oxygen saturations. Additionally, the facility failed to accurately post daily nurse staffing hours, leading to discrepancies that could impact staffing metrics and resident care.

Multiple residents and a resident's spouse complained about short staffing, long wait times for care, slow response to call bells, and inadequate assistance. The complaints were substantiated by observed discrepancies in staffing postings and resident interviews.

The facility failed to ensure accurate and complete daily nurse staffing postings, resulting in discrepancies between scheduled and actual hours worked. Multiple residents and a spouse reported concerns about short staffing, slow response to call lights, and inadequate care on weekends. The facility's staffing coordinator and administrator acknowledged some errors and staffing challenges but stated efforts to maintain adequate staffing.

The complaint investigation found that resident #510 was not administered oxygen as ordered despite physician orders and documentation. Interviews with staff confirmed the resident was not on oxygen. Additionally, staffing postings were inaccurate with discrepancies in hours worked, and residents reported concerns about short staffing and long call light wait times.

The facility failed to ensure that one sampled resident (#510) received oxygen as ordered, despite physician orders and documentation indicating oxygen administration. Additionally, the facility failed to maintain accurate daily nurse staffing postings, with discrepancies between scheduled and actual hours worked, and residents reported concerns about staffing shortages and long wait times for care.

State compliance survey with investigation of multiple intakes cited 2 deficiencies related to nursing documentation and respiratory care.

State compliance survey with investigation of multiple complaints cited 8 deficiencies related to care plans, quality of care, accident hazards, food safety, and chemical storage.

The facility was found deficient in multiple areas including failure to implement a complete care plan for bathing for one resident, failure to provide appropriate treatment and care according to orders for another resident resulting in a critical lab value not being acted upon, unsafe chemical storage in the kitchen, and improper food storage practices.

The facility was found deficient in multiple areas including failure to implement a care plan for bathing for one resident, improper monitoring and notification of critical vancomycin lab levels resulting in a resident's death, unsafe chemical storage in the kitchen, and improper food storage practices that could affect food quality.

The complaint investigation focused on hiring a CNA with a prior disciplinary action for abuse/neglect, failure to update PASARR screenings for residents, medication administration errors, and medication error rates.

The facility failed to ensure a Certified Nursing Assistant with a prior abuse/neglect disciplinary action was not hired, failed to update PASARR screenings for residents staying longer than 30 days, failed to administer medications according to professional standards for two residents, and had a medication error rate of 8.57% for one resident.

The complaint investigation substantiated that the facility failed to properly screen and hire staff with prior disciplinary actions, failed to complete required PASARR screenings, and had medication administration errors exceeding acceptable rates.

The facility failed to ensure a Certified Nursing Assistant with a prior abuse/neglect disciplinary action was not hired, failed to complete or update PASARR screenings for residents staying longer than 30 days, and failed to administer medications according to physician orders, resulting in an 8.57% medication error rate.